Holy cross hospital form 2026

1. Click ‘Get Form’ to open the holy cross hospital form in the editor.
2. Begin by filling out your personal information in the 'Participant Information Release' section. This includes your name, address, city, state, zip code, phone numbers, email address, race (optional), and date of birth.
3. Indicate whether you are a Kaiser Permanente member by selecting 'YES' or 'NO'.
4. Provide details about the Senior Fit program location and class time.
5. Complete the emergency contact section by providing the name, relationship, and phone number of your emergency contact.
6. Sign the participant's signature field to acknowledge your understanding of the program's risks and requirements.
7. Turn to the second page for the Health Provider Consent section. Fill in your physician's name, signature, date, phone number, and address.
8. Finally, ensure all fields are completed before submitting the double-sided form to Holy Cross Hospital as instructed.

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